Small Mammal Information Form

Please complete the form below to submit the Small Mammal Information Form online. You can also click the button below to download and print the form.

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Owner’s Name *

First

Last

Email *

Patient name *

Species *

Where did you get them (breeder, stray, shelter, etc.)? *

How long have you had them? *

Is this your first time adopting this species? *

Does your animal spend time in a cage?

What is it made of?

How large is it (dimensions)?

What sort of material is at the bottom (CareFresh, pine/cedar shavings, etc.)? *

What other items are in the enclosure/your animal has access to? *

How often is the enclosure cleaned? *

What type of cleaner do you use? *

Do you use a water bottle or water bowl? *

What food(s)are you offering? *

Food brand(s) *

Food quantity *

How often? *

If you offer vegetables, what specific vegetables are fed most often?

Are there any other pets in your family? (Please List)

If yes, do they interact with one another? How often? *

Has your animal ever been seen by a veterinarian before? *

Do they have any current or previous medical conditions you are aware of? *

Is your animal on any medications or supplements? *

Any other information we should know about *